| NPI | 1538927488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SAMANTHA SPANN Office Manager 405-317-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |